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Patients who have cannabis use disorder have higher rates of venous thromboemboli, readmission rates, and costs following primary total knee arthroplasty

Journal of Arthroplasty Jan 29, 2020

Vakharia RM, Sodhi N, Anis HK, et al. - Researchers sought to explore whether individuals with cannabis use disorder undergoing primary total knee arthroplasty (TKA) have higher rates of venous thromboemboli (VTEs); readmissions; and costs. They distinguished study group individuals undergoing primary TKA from a large, nationwide database. They eliminated individuals who had a history of VTEs, deep vein thromboses (DVTs), pulmonary emboli (PEs), and coagulopathies before their TKA. They matched study group individuals to controls in a 1:4 ratio by age, sex, a comorbidity index, and medical comorbidities. They examined a sum of 18,388 individuals (cannabis = 3680; controls = 14,708). Outcomes examined incorporated rates of 90-day VTEs, DVTs, and PEs, in addition to 90-day readmissions and costs. They obtained that, compared with a matched cohort, individuals who have a cannabis use disorder have higher rates of thromboembolic complications, readmission rates, and costs following primary TKA.
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